1. Integrated Healthcare Thursday 14 th May 2015

2. HOKIANGA

3. Hokianga Te Kohanga o Te Tai Tokerau ‘Nesting place of Northern people’

5. Central hub - Rawene

6. Integrated Health care Co-ordinated Comprehensive Seamless WHO (2008) – management and delivery of health care services so clients receive a continuum of preventative and curative services, according to their needs over time and across different levels of the health care system

7. Hokianga Health – multi-purpose service delivery Multiple disciplines under a single roof ◦ Personalised/ one point of contact ◦ Team work across disciplines ◦ Form strong relationships ◦ Morning tea ◦ Referrals to HH services  f/u personally Financial management

8. Medical staff Inpatient services Community Health Physiotherapist Radiologist Diabetes Nurse Health promotion Dental Midwives Daycentre School Nurse Respite facilities Public health Social worker Mental Health Practice Nurse Smoking Cessation

9. Nursing Staff (community, health centre and ward), KMTs and carers Know communities Know whanau Lost souls Become involved with whanau (home, school, marae and event days) Well positioned to work/ update doctors on patients

10. Multi-skills – one contact Whanau ora Tamariki ora Community Nursing O.T assessments Screening incl cx sm; CVDRA; imms Health education Dressings Smoking cessation

11. Nurse Practitioner In-depth health education/ time Referrals Labs and radiology Medical certificates Medication reconciliation Prescribing Outcome aims to provide patients with high quality health services

12. Rural systems Everyone is related somehow ◦ Connections of strengthen relationships ◦ Sense of belonging/ empowerment ◦ With the patient, for the patient Rural delivery I.T. Systems – challenging, not all resources readily available e.g electronic referrals

13. Integrated Health Services - National Definite improvements – discharge letters, eReferrals Multiple systems: My Practice; MedTec, Test Safe, Concerto ◦ Accessible, time consuming

14. Personal Example Patient discharged (IHD, HF, COPD) Home visit Education – inhalers, daily weights, salt Dressing – ACC Home assessment – referral to OT; equipment Smoking cessation advice Medication reconciliation – script Feedback – CHN, Doctor, Community Manager

15. Questions